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New Jersey rates for MS-DRG 256

Upper limb and toe amputation for circulatory system disorders with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,323.00 / $38,075.40 / $49,563.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,902.91 / $38,019.00 / $51,497.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,002.00 / $29,094.00 / $46,744.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $46,965.61